JOURNEY HEALTH & WELLNESS NPI 1720616295

NPI Information

  • NPI: 1720616295
  • Provider Name: JOURNEY HEALTH & WELLNESS
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 49D2182997
  • Address: 100 CONCOURSE BLVD STE 150
    GLEN ALLEN, VA
    ZIP 23059
  • Phone: (804) 416-6673

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NPI Details

JOURNEY HEALTH & WELLNESS is a primary care clinic center in Glen Allen, VA. JOURNEY HEALTH & WELLNESS NPI is 1720616295. The provider is registered as an organization entity type.

The provider's business location address is:

100 CONCOURSE BLVD STE 150
GLEN ALLEN, VA
ZIP 23059-751
Phone: (804) 416-6673
Fax: (804) 886-9046

The provider's authorized official is Angela Tucker Anderson .
The authorized official title is Owner/nurse Practitioner and has the following contact phone number (804) 416-6673.

The CLIA number assigned to this NPI record is 49D2182997 - other - np owned private practice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/31/2020 and was last updated on 1/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes
2363L00000XNurse PractitionerNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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